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22 January 2017
Francesco Inzirillo1, Casimiro Giorgetta1, Eugenio Ravalli1, Alessia Marziani3, Francesco Sangrigoli2, Claudio Della Pona1 1) Department of Thoracic Surgery, Morelli Hospital, AOVV, Sondalo

PERCUTANEOUS DRAINAGE : AN EFFECTIVE AND LESS AGRESSIVE APPROACH FOR COMPLICATED DIVERTICULAR ABSCESS

Retroperitoneal abscess is a serious complication of diverticular disease.
 
Its management involves several options, ranging from conservative management to surgery. Elective colectomy is most often thought to be mandatory after a percutaneous drainage given the high rate of recidive. However, in patients with high risk for surgery, percutaneous drainage is often the main therapeutic alternative. We report a case of a 80-year-old woman, who was diagnosed to have a retroperitoneal abscess complicating a sigmoid diverticulitis. Ultrasound-guided percutaneous drainage allowed to drain 1500cc of pus and gas. The cytobacteriological examination was positive for: Streptococcus spp and Alkalescens dispar. The therapeutic outcomes were uneventful and despite we did not realize a colectomy because the patient was at high risk for surgery, there was no recidive after a 2-year-follow-up period. Percutaneous drainage can be a therapeutic alternative in patients with high risk for surgery in diverticular abscess of big size.
 
 
Mohamadou Lamine Gueye1, Jaafar Ibn Abu Talib Thiam2, Abdou Niasse1, Ousmane Thiam1, Hamidou Deme3, Mamadou Seck1, Alpha Oumar Toure1, Cheikh Tidiane Toure1
 
1) Department Of General Surgery, Aristide Le Dantec Hospital, Dakar, Senegal.

2) DJoliot Curie Institute, Aristide Le Dantec Hospital, Dakar, Senegal.

3) Department Of Radiology, Aristide Le Dantec Hospital, Dakar, Senegal.

Disclosure: The author has declared no conflicts of interest.

Received: 16.05.16 Accepted: 16.06.16

Citation: 10.5455/ijsm.diverticular-abscess

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How to Cite this Article

Gueye, M., Thiam, J., Niasse, A., Thiam, O., Deme, H., Seck, M., Toure, A. and Toure, C. (2017). PERCUTANEOUS DRAINAGE : AN EFFECTIVE AND LESS AGRESSIVE APPROACH FOR COMPLICATED DIVERTICULAR ABSCESS. International Journal of Surgery and Medicine, [online] 3(4). Available at: http://10.5455/ijsm.diverticular-abscess [Accessed 18 Mar. 2017].


 

References:

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3. Singh B, May K, Coltart I, Moore NR, Cunningham C. The long-term results of percutaneous drainage of the diverticular abscess. Ann R Coll Surg Engl 2008; 90:297-301.
4. Kaiser AM, Jiang JK, Lake JP, Ault G, Artinya A, GonzalezRuiz C. The management of complicated diverticulitis and the role of computed tomography. AM J Gastroenterol 2005; 100:910-7.
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Last modified onSunday, 03 June 2018 21:13

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